Gerald J. Blazius, O.D.

Optometrist · Eastpointe, MI

Individual Active NPI

NPI number 1790846558

Practice location

22561 Gratiot Ave
Eastpointe, MI 48021-2360
Phone
(586) 775-6733

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NPI record

NPI
1790846558
Entity type
Individual (Type 1)
Enumeration date
December 13, 2006
Last updated
December 20, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 4901003177 MI

Mailing address

47252 Grand Cypress Ct
Macomb, MI 48044-3025
Phone
(586) 775-6733

About Dr. Blazius

Gerald J. Blazius, O.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 22561 Gratiot Ave, Eastpointe, MI 48021-2360. The NPI number 1790846558 was assigned on December 13, 2006 and the record was last updated on December 20, 2011.

Dr. Blazius lists a license in the registry: #4901003177 (MI) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Gerald J. Blazius, O.D.?

The NPI number is 1790846558.

What is the phone number of Dr. Blazius?

The phone number listed for the practice location is (586) 775-6733.

Where is Dr. Blazius located?

22561 Gratiot Ave, Eastpointe, MI 48021-2360.

What is the taxonomy code for Dr. Blazius?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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